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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Psychiatric disorders and asthma outcomes among high-risk inner-city patients.
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Psychiatric disorders and asthma outcomes among high-risk inner-city patients.

机译：高风险内城区患者的精神疾病和哮喘预后。

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OBJECTIVE: The purpose of this study was to examine the rate of psychiatric disorders among patients attending an ethnically diverse, inner-city asthma clinic for an initial visit and assess the association between psychiatric disorders and asthma morbidity. METHODS: A semistructured psychological interview was conducted to assess for psychiatric diagnoses. A pulmonary physician, who was blind to psychiatric disorder, established diagnosis of asthma based on national guidelines. RESULTS: Sixty-four percent of 85 participants received at least 1 psychiatric diagnosis. The pulmonary physician rated patients with a psychiatric disorder as achieving fewer goals (M = 2.3 +/- 1.3) for asthma control than patients without a psychiatric disorder (M = 3.6 +/- 1.5, p = .0002). Patients with a psychiatric diagnosis more frequently reported an emergency room visit for asthma during the past 6 months (OR = 4.89; 95% CI, 1.76-13.39) and greater use of short-acting beta2-agonist medication (M = 1.5 +/- 0.9 canisters per month) than patients without a psychiatric diagnosis (M = 0.9 +/- 0.8, p = .003). These findings were independent of demographics, health insurance, and asthma severity. No differences emerged between patients with and without a mental disorder on percent predicted FEV1. Patients with a psychiatric disorder reported a higher severity level for asthma symptoms than the severity level indicated by their pulmonary function in comparison to patients without a psychiatric diagnosis (OR = 3.52; 95% CI, 1.23-10.10). Health insurance appeared to be a confounding factor in this relationship. CONCLUSION: A high rate of psychiatric disorders was found among inner-city asthma patients. Psychiatric diagnoses were associated with greater perceived impairment from asthma but not objective measurement of pulmonary function.
机译：目的：本研究的目的是检查就诊于初次就诊的种族差异的市内哮喘诊所患者的精神疾病发生率，并评估精神疾病与哮喘发病率之间的关系。方法：进行了半结构性心理访谈，以评估精神病学诊断。一位对精神疾病视而不见的肺内科医师根据国家指南对哮喘进行了诊断。结果：85名参与者中的64％接受了至少1项精神病学诊断。肺内医师对患有精神疾病的患者的控制哮喘目标（M = 2.3 +/- 1.3，比无精神疾病的患者（M = 3.6 +/- 1.5，p = .0002）更少。有精神病诊断的患者在过去的6个月中更频繁地报告了急诊室就诊的哮喘病（OR = 4.89; 95％CI，1.76-13.39）和更多使用短效β2受体激动剂（M = 1.5 +/-每月比没有精神病诊断的患者多出0.9罐（M = 0.9 +/- 0.8，p = 0.003）。这些发现与人口统计学，健康保险和哮喘严重程度无关。有和没有精神障碍的患者之间的预测FEV1百分比无差异。与没有精神病诊断的患者相比，精神病患者的哮喘症状严重程度高于其肺功能所指示的严重程度（OR = 3.52; 95％CI，1.23-10.10）。健康保险似乎是这种关系中的一个混杂因素。结论：内城区哮喘患者的精神疾病发生率很高。精神病学诊断与哮喘引起的更大感知障碍有关，但与肺功能的客观测量无关。

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